Hi,
I am going to start working with a
new Home Health Agency. I know (in the back of my mind) that each agency should have their own set rates for each service provided. The set rates are what should be used to bill payers regardless of type. The adjustments will be made at the back-end when the EOB's or RA's are received.
The Agency is setting
different rates for each contracted account based on the account's fee schedule. Is there documentation out there that shows that this is the not the norm. In fact I believe that it is illegal to bill different insurances different rates, however, I cannot find documentation in my frustration. Please help!